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50106201
Declaration of safety
For your Thermo Service:
Dear Customer,
During maintenance and service tasks, the
employment of biological and chemical agents in
equipment can result in risks for associated
personnel as well as contamination of the
surrounding area.
In line with legal mandates, in effect nationally and
internationally, such as
• The employer’s obligation for the safety of his
employees
• The operator’s obligation for safety in everyday
use
possible hazards must be avoided.
Depending on the work which was being carried
out with it, equipment may need to be
decontaminated, disinfected, and cleaned prior to
any calibration, maintenance or service work
being performed, also prior to changing the
location of the unit and to taking it out of
operation.
We therefore ask for the following confirmation
prior to beginning the required tasks.
With best regards,
Thermo Electron LED GmbH
Customer:
Unit model:______________________________
Serial No.: ______________________________
Work to be performed (Please mark the required
tasks):
O Calibration
O Maintenance
O Service
O Transfer to new location/Transport
Confirmation:
O Prior to the work being initiated, the unit
was decontaminated, disinfected, and
cleaned by ourselves in accordance with
the instructions in the unit’s Operating
Instructions and in accordance with those
regulations applicable to us.
The unit
presents no hazard.
(Date, legal signature, stamp)
Company: ......................................................
Name: ...........................................................
Dep.: .............................................................
Address: ........................................................